title: Transmalleolar approach to a tubercular lytic lesion of the talar body: a case report.
abstract: Tuberculosis of the talus is a rare condition, and the diagnosis can be difficult to make because of inconclusive laboratory and ancillary testing. In such cases, accurate diagnosis and appropriate treatment may require the use of a transmalleolar osteotomy to gain access to the involved portion of the talar body. In the case described in this article, a transmalleolar approach was used to gain access to a lytic lesion of the talar body so as to obtain microbiological and histopathological specimens for diagnostic purposes, and to thoroughly debride the lesion. After 6 years of postsurgical follow-up, the patient was leading a normal life with a full range of ankle and subtalar motion. The rarity of the diagnosis, and the use of the transmalleolar approach to a lytic and likely infected lesion in the body of the talus, makes this case worthy of public discussion.
authors.affiliation: The Government Hospital for Bone and Joint Surgery, Barzullah, Srinagar, Kashmir, India.
authors.forename: Manzoor Ahmed
authors.initials: MA
authors.lastname: Halwai
authors.forename: Bashir Ahmed
authors.initials: BA
authors.lastname: Mir
authors.forename: Shabir Ahmed
authors.initials: SA
authors.lastname: Dhar
authors.forename: Tahir Ahmed
authors.initials: TA
authors.lastname: Dar
authors.forename: Mohammed Farooq
authors.initials: MF
authors.lastname: Butt
mesh_terms: D000328:Adult; D003646:Debridement / Q000379:methods*; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010027:Osteotomy / Q000379:methods*; D013628:Talus / Q000601:surgery*; D014394:Tuberculosis, Osteoarticular / Q000175:diagnosis / Q000601:surgery*